Clinical Decision Support tools are reference resources designed to support clinical decision-making. Health care professionals utilise these tools to quickly lookup information concerning diagnostic and treatment guidance at the point-of-care with a patient.
Clinical Decision Support tools contain detailed summaries of a wide range of conditions and interventions, supported by synthesized and evaluated evidence-based research and/or peer-reviewed sources. Summaries are curated by health professionals and regularly updated to reflect new evidence. Summaries can include levels of evidence, rating scales or grade recommendations as well as citations back to the original research studies, systematic reviews, or guidelines.
BMJ Best Practice is a clinical decision support tool, uniquely structured around the patient consultation, with advice on symptom evaluation, tests to order and treatment approach. Access to BMJ Best Practice is provided by Health Education England to all NHS staff in England.
For access go to the BMJ Best Practice website using your OpenAthens username and password. If you are a new user, you will need to now register for a BMJ Best Practice personal account. Personal accounts allow you to track CME/CPD activity and to log in to the BMJ Best Practice app using your personal account credentials. This is a quick one-off registration that will link your two accounts together and going forward you can then use your personal account to log in directly to BMJ Best Practice website and app.
DynaMed provides clinically-organised summaries for over 3,000 disease and condition topics, incorporating over 1,000 drug topics. DynaMed editors monitor the content of over 500 medical journals, using a rigorous seven-step methodology for selecting and critically appraising each selected article. The tool is updated daily, making it the most current point of care tool on the market. Guidelines from NICE, SIGN and Royal Colleges are included.
To access content remotely and via the app create a personal account. For some quick guidance on using DynaMed watch the 2 minute tutorial.
UpToDate is a time saving, evidence-based, clinical decision at point of care, support tool. It contains all of the internal medicine sub-specialties (at a level that meets the needs of the sub specialist), primary care, internal medicine, ob/gyn,paediatrics, general surgery, and more – all in one resource. To access UpToDate users are required to create an authenticated personal account, this can only be done whilst logged onto the Barts Health trust network.
Once a personal account has been created users can then access UpToDate from any location and can also download and access the app version. UpToDate personal accounts must be re-authenticated every 90 days to ensure continued access and this must be done whilst logged onto the Barts Health trust network. We recommend that users do not try to access UpToDate using OpenAthens, due to conflicts between OpenAthens and Personal account access.
Lexicomp is a drugs information database that will tell you everything you need to know about a certain drug. It also includes a drug interaction feature so you know what to be aware of when prescribing. Access is via IP if you are on Barts Health sites or OpenAthens elsewhere.